A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images

Abstract Neoadjuvant chemotherapy (NAC) is a systemic and systematic chemotherapy regimen for breast cancer patients before surgery. However, NAC is not effective for everyone, and the process is excruciating. Therefore, accurate early prediction of the efficacy of NAC is essential for the clinical...

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Main Authors: Jiang Xie, Jinzhu Wei, Huachan Shi, Zhe Lin, Jinsong Lu, Xueqing Zhang, Caifeng Wan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Medical Imaging
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Online Access:https://doi.org/10.1186/s12880-024-01543-7
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author Jiang Xie
Jinzhu Wei
Huachan Shi
Zhe Lin
Jinsong Lu
Xueqing Zhang
Caifeng Wan
author_facet Jiang Xie
Jinzhu Wei
Huachan Shi
Zhe Lin
Jinsong Lu
Xueqing Zhang
Caifeng Wan
author_sort Jiang Xie
collection DOAJ
description Abstract Neoadjuvant chemotherapy (NAC) is a systemic and systematic chemotherapy regimen for breast cancer patients before surgery. However, NAC is not effective for everyone, and the process is excruciating. Therefore, accurate early prediction of the efficacy of NAC is essential for the clinical diagnosis and treatment of patients. In this study, a novel convolutional neural network model with bimodal layer-wise feature fusion module (BLFFM) and temporal hybrid attention module (THAM) is proposed, which uses multistage bimodal ultrasound images as input for early prediction of the efficacy of neoadjuvant chemotherapy in locally advanced breast cancer (LABC) patients. The BLFFM can effectively mine the highly complex correlation and complementary feature information between gray-scale ultrasound (GUS) and color Doppler blood flow imaging (CDFI). The THAM is able to focus on key features of lesion progression before and after one cycle of NAC. The GUS and CDFI videos of 101 patients collected from cooperative medical institutions were preprocessed to obtain 3000 sets of multistage bimodal ultrasound image combinations for experiments. The experimental results show that the proposed model is effective and outperforms the compared models. The code will be published on the https://github.com/jinzhuwei/BLTA-CNN .
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institution Kabale University
issn 1471-2342
language English
publishDate 2025-01-01
publisher BMC
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series BMC Medical Imaging
spelling doaj-art-62548186cd7446e9a5359dc8e627c2592025-01-26T12:57:58ZengBMCBMC Medical Imaging1471-23422025-01-0125111410.1186/s12880-024-01543-7A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound imagesJiang Xie0Jinzhu Wei1Huachan Shi2Zhe Lin3Jinsong Lu4Xueqing Zhang5Caifeng Wan6School of Computer Engineering and Science, Shanghai UniversitySchool of Medicine, Shanghai UniversitySchool of Computer Engineering and Science, Shanghai UniversitySchool of Computer Engineering and Science, Shanghai UniversityDepartment of Ultrasound, Renji Hospital, Shanghai Jiao Tong University School of MedicineDepartment of Pathology, Renji Hospital Affiliated to Shanghai Jiao Tong University School of MedicineDepartment of Ultrasound, Renji Hospital, Shanghai Jiao Tong University School of MedicineAbstract Neoadjuvant chemotherapy (NAC) is a systemic and systematic chemotherapy regimen for breast cancer patients before surgery. However, NAC is not effective for everyone, and the process is excruciating. Therefore, accurate early prediction of the efficacy of NAC is essential for the clinical diagnosis and treatment of patients. In this study, a novel convolutional neural network model with bimodal layer-wise feature fusion module (BLFFM) and temporal hybrid attention module (THAM) is proposed, which uses multistage bimodal ultrasound images as input for early prediction of the efficacy of neoadjuvant chemotherapy in locally advanced breast cancer (LABC) patients. The BLFFM can effectively mine the highly complex correlation and complementary feature information between gray-scale ultrasound (GUS) and color Doppler blood flow imaging (CDFI). The THAM is able to focus on key features of lesion progression before and after one cycle of NAC. The GUS and CDFI videos of 101 patients collected from cooperative medical institutions were preprocessed to obtain 3000 sets of multistage bimodal ultrasound image combinations for experiments. The experimental results show that the proposed model is effective and outperforms the compared models. The code will be published on the https://github.com/jinzhuwei/BLTA-CNN .https://doi.org/10.1186/s12880-024-01543-7Deep learningMultistage bimodal ultrasound imagesBreast cancerNeoadjuvant chemotherapy
spellingShingle Jiang Xie
Jinzhu Wei
Huachan Shi
Zhe Lin
Jinsong Lu
Xueqing Zhang
Caifeng Wan
A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
BMC Medical Imaging
Deep learning
Multistage bimodal ultrasound images
Breast cancer
Neoadjuvant chemotherapy
title A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
title_full A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
title_fullStr A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
title_full_unstemmed A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
title_short A deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
title_sort deep learning approach for early prediction of breast cancer neoadjuvant chemotherapy response on multistage bimodal ultrasound images
topic Deep learning
Multistage bimodal ultrasound images
Breast cancer
Neoadjuvant chemotherapy
url https://doi.org/10.1186/s12880-024-01543-7
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